The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?

Weight loss

Dry mouth

Hyperglycemia

Decreased wound healing

Answer and Explanation

The Correct Answer is A

A. Weight loss is not a common side effect of prednisone. Instead, prednisone often causes weight gain due to fluid retention and increased appetite.
B. Dry mouth can occur with prednisone use, although it is less common than other side effects.
C. Hyperglycemia is a common side effect. Corticosteroids like prednisone can increase blood glucose levels, which is particularly concerning for clients with diabetes.
D. Decreased wound healing is a known side effect. Prednisone suppresses the immune system and inflammatory response, leading to delayed tissue repair.

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Correct Answer is C

Explanation

A. Warfarin is commonly prescribed for long-term anticoagulation to prevent future clot formation. This statement is correct and does not require further teaching.
B. A Heparin infusion does not dissolve existing clots but prevents them from enlarging and new clots from forming, making this statement accurate.
C. The purpose of the Inferior Vena Cava (IVC) filter is to trap emboli from deep vein thrombosis (DVT) before they reach the lungs, not to prevent DVT formation. This statement is incorrect and requires further teaching.
D. An embolectomy is a surgical procedure to remove a pulmonary embolism, making this statement correct.

A. Brain Natriuretic Peptide (BNP) B. Total Lactate Dehydrogenase (LDH) C. Troponin D. Creatinine

Correct Answer is C

Explanation

A. Brain Natriuretic Peptide (BNP) is a marker for heart failure, not the primary diagnostic test for myocardial infarction (MI).
B. Total Lactate Dehydrogenase (LDH) was historically used but is not specific for MI and has been replaced by troponin testing.
C. Troponin is correct. Cardiac-specific troponins (Troponin I and Troponin T) are the gold standard for detecting myocardial injury. Elevated levels indicate myocardial damage and are crucial for diagnosing MI.
D. Creatinine is important for assessing kidney function but is not a marker for myocardial infarction.

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The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?

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Naxlex Comprehensive Predictor Exams

The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?

Correct Answer is C

Explanation

A client came into the emergency room with a possible myocardial infarction. The provider orders a series of blood tests to be drawn, which lab should the nurse anticipate will be drawn?

Correct Answer is C

Explanation

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